Healthcare Provider Details

I. General information

NPI: 1801139654
Provider Name (Legal Business Name): JANICE CAMINO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8054 DARROW RD STE 1
TWINSBURG OH
44087-2381
US

IV. Provider business mailing address

8054 DARROW RD STE 1
TWINSBURG OH
44087-2381
US

V. Phone/Fax

Practice location:
  • Phone: 330-425-1485
  • Fax: 330-405-7960
Mailing address:
  • Phone: 330-425-1485
  • Fax: 330-405-7960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.131891
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: